DD Form 2475 DoD Educational Loan Repayment Program (LRP) Annual Application

How to Fill Out DD Form 2475?

The application consists of three main parts with an overview of the required information at the bottom of the second page. Additional guidelines and tips can be found in the Army Regulation 621-202, Army Educational Incentives, and Entitlements. DD Form 2475 instructions are as follows:

1. Section I is the Personnel Office Verification . This section is completed by a designated personnel officer. It requires the address where the completed form is forwarded to along with the name and signature of a verifying official and the date of signing.

2. Section II - Service Member Data - is to be completed by the service member filing for assistance. The personal identifying data includes the name, SSN, home address and email address of the service member along with their signature and date of filing.

3. The service member's full name and the last 4 digits of their SSN must be provided in Section V, Remarks if the Borrower is the parent and has a Parent Loan for Undergraduate Students incurred for the service member's education.

4. Section III - Loan Data - is to be completed by the loan servicing agency.

   • Box A requires the name as it appears on the promissory note.
   • Box B requires the original date of the promissory note in YYYYMMDD format.
   • Box C is for the original loan amount.
   • Box D is for the overall number of loans.
   • Box E is for the loan account number that is to be used to ensure payments are applied to the correct amount.
   • Boxes F through H require the name, address, and telephone number of the institution that currently services the loan.
   • Box I is for the loan in default.
   • Box J is for the unpaid principal balance.
   • Box K requires stating the outstanding balance.
   • Box L questions whether the loan is consolidated.
   • Box M requires the Federal Tax Identification number.
   • Box N requires to define the type of loan. The full list of loan types can be found at the bottom of the form.
   • Box O is for specifying the loan interest.
   • Box P is to be filled with the name and address of the institution where payments are to be sent.
   • Box Q is to be completed with the lender routing number.
   • Box R is for verification from the certifying officer, with boxes for their name, title, signature, and date.

5. Section IV consists of four columns that have to do with loan data and must also be completed by the loan servicing agency.

6. Section V is for any extra remarks. These include any additional information that might assist in processing the application.

The completed and signed DD 2475 form is to be sent to the address listed in Section I, Box A.